=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295674489
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SARA BRETT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2026
-----------------------------------------------------
Last Update Date | 03/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1725 W HARRISON ST STE 440
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60612-3836
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-563-2454
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 W SUPERIOR ST APT 4805
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60654-8866
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-933-1314
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OCCUPATIONAL THERAPIST
-----------------------------------------------------
Name | SARA BRETT
-----------------------------------------------------
Credential | OTD
-----------------------------------------------------
Telephone | 248-933-1314
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------